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Monday, February 3, 2014
Open Letter Challenges Rep. Creagan on 'Medical' Marijuana
By Selected News Articles @ 1:54 AM :: 5276 Views :: Drugs

“Our country is moving towards an eventual goal of legalizing marijuana. It’s legalized in a host of states (including Hawaii) for medical reasons, and when you look at the risk benefit of marijuana versus other things like narcotics, the risk is small and the benefit is huge.” -- Rep Richard Creagan, MD January, 2014

Open Letter to Rep Richard Creagan, MD, 

From Robert Williams, Na'alehu, HI, February 2, 2014

Regardless of your position on legalization, what scientific evidence do you have as a doctor that can justify calling marijuana 'medicinal'?

After the long persuasive struggle to reduce the unhealthy use of tobacco, the State is now promoting marijuana as "medicine.'  Somewhat before, during, and after the Johnson Administration,  my older brother Dr. G. Z. Williams headed the Pathology Department of the National Institutes of Health in Bethesda.  Before he died he commented on the heavy growth and use of marijuana in this state.

Both on the mainland and for 21 years out here I have witnessed first-hand the mind numbing effects of marijuana usage on fellow citizens who smoke it, legal or not. 

To bring you up to date here are pertinent excerpts from a January, 2014 report put out by NIH:

How Does Marijuana Affect the Brain?

When marijuana is smoked, THC rapidly passes from the lungs into the bloodstream, which carries the chemical to the brain and other organs throughout the body. It is absorbed more slowly when ingested in food or drink.

However it is ingested, THC acts on specific molecular targets on brain cells, called cannabinoid receptors. These receptors are ordinarily activated by chemicals similar to THC that naturally occur in the body  and are part of a neural communication network called the endocannabinoid system. This system plays an important role in normal brain development and function.

The highest density of cannabinoid receptors is found in parts of the brain that influence pleasure, memory, thinking, concentration, sensory and time perception, and coordinated movement. Marijuana over activates the endocannabinoid system, causing the “high” and other effects that users experience. These effects include altered perceptions and mood, impaired coordination, difficulty with thinking and problem solving, and disrupted learning and memory.

Marijuana also affects brain development, and when it is used heavily by young people, its effects on thinking and memory may last a long time or even be permanent. A recent study of marijuana users who began using in adolescence revealed substantially reduced connectivity among brain areas responsible for learning and memory. And a large long-term study in New Zealand showed that people who began smoking marijuana heavily in their teens lost an average of 8 points in IQ between age 13 and age 38. Importantly, the lost cognitive abilities were not fully restored in those who quit smoking marijuana as adults. Those who started smoking marijuana in adulthood did not show significant IQ declines.

What Are the Other Health Effects of Marijuana?

Marijuana smoke is an irritant to the lungs, and frequent marijuana smokers can have many of the same respiratory problems experienced by tobacco smokers.

Is Marijuana Medicine?

Many have called for the legalization of marijuana to treat conditions including pain and nausea caused by HIV/AIDS, cancer, and other conditions, but clinical evidence has not shown that the therapeutic benefits of the marijuana plant outweigh its health risks. Marijuana also raises heart rate by 20-100 percent shortly after smoking; this effect can last up to 3 hours. In one study, it was estimated that marijuana users have a 4.8-fold increase in the risk of heart attack in the first hour after smoking the drug. This risk may be greater in older individuals or in those with cardiac vulnerabilities.

A number of studies have linked chronic marijuana use and mental illness. High doses of marijuana can produce a temporary psychotic reaction (involving hallucinations and paranoia) in some users, and using marijuana can worsen the course of illness in patients with schizophrenia. A series of large studies following users across time also showed a link between marijuana use and later development of psychosis. Associations have also been found between marijuana use and other mental health problems, such as depression, anxiety, suicidal thoughts among adolescents, and personality disturbances, including a lack of motivation to engage in typically rewarding activities. Marijuana use during pregnancy is associated with increased risk of neurobehavioral problems in babies. Because THC and other compounds in marijuana mimic the body’s own endocannabinoid chemicals, marijuana use by pregnant mothers may alter the developing endocannabinoid system in the brain of the fetus. Consequences for the child may include problems with attention, memory, and problem solving.

Additionally, because it seriously impairs judgment and motor coordination, marijuana contributes to risk of injury or death while driving a car. A recent analysis of data from several studies found that marijuana use more than doubles a driver’s risk of being in an accident. The combination of marijuana and alcohol is worse than either substance alone with respect to driving impairment

Rising Potency

The amount of THC in marijuana samples confiscated by police has been increasing steadily over the past few decades. In 2012, THC concentrations in marijuana averaged close to 15 percent, compared to around 4 percent in the 1980s. For a new user, this may mean exposure to higher concentrations of THC, with a greater chance of an adverse or unpredictable reaction.

Is Marijuana Addictive?

Contrary to common belief, marijuana is addictive.

How Does Marijuana Affect a User’s Life?

Research shows marijuana may cause problems in daily life or make a person's existing problems worse. Heavy marijuana users generally report lower life satisfaction, poorer mental and physical health, more relationship problems, and less academic and career success compared to non-marijuana-using peers. For example, marijuana use is associated with a higher likelihood of dropping out of school. Several studies also associate workers' marijuana smoking with increased absences, tardiness, accidents, workers' compensation claims, and job turnover.“

 

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